25A-143 (9) ' 0nn ►" II vz5 to.r-- P Lc 4--) .
mumimmmmmmmgiiiiw8t,oi;ea(-H- c i› -v cc-I L,NG*
The Commonwealth of Massachusetts kriDi6rtr
igli r., Board of Building Regulations and Standards FEB _ E. FOR
Massachusetts State Building Code, 780 CMR u 2022 M1 fNICI1' TY
ve
o , UE
Building Permit Application To Construct,Repair,Renovate Or elisl a Revised*far 011
One-or Two-Family Dwelling >,1fn D',,,,;1" "sanow
This Section For Official Use Only "' •
Building Permit Number: g P )3—/3 "7 Date Applied:
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Propty A ess: Q > �/ 1.2 Assessors Map&Parcel Numbers,y3
1.1 a Is this an accepted street?yes no Map Number
Parcel Number
1.3 Zoning Information: 1.4 Property Dimcne!n»-:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Died^.n! c,rftt'n •
Zone: Outside Flood Zone?
Public Private❑I — Mnnicira1 n n., 4;,,,,-,.-.1 , n Che&+:y-
"I 1: 1-2.tVri"d(1 Y V w1Vliit nir-
1)..G-;,-..f..N1'17.,,,,,ftd„I, Ilez.,
Name( t) City,State,ZIP
/ $ al'v S cfi ills 54S 43 22 .TuvinfoueViceiiel* ryi0(leCa
No.and Street Telephone Enkil.".d
1 cY JJ
New Construction 0 Existing Building l Owner Occupied L. It cpai (:,1 :r L.,.I .. i.L.:;.k5, ... I ......,.. ... 1
- . ti,a n A''''s'''' ` .,
i�lyli 1 rit t r: t -
L111O tL1V11 LJ i 11LNL.JJ./1�Yl�l�. L.{ 1 1\bull Wl VL Vllli 1 Viilvl LJ op.. .,
Brief Description of Proposed Work'. �y,5 em,ed 1r Ile& c-o n c re e iloo /ODd't j
J1 /
kcii-ktopi _ _ oil U t ... r L of i5 ,, , )27 i_ty of t fr2 eel 11n
SECTI 4:ESTIMAT^B CONSTRUCTION COS'1I
T}` Paginated Costs: , ,. ,�
�r - »s) y
1.Building $ t S p (9 v 1. Building Permit Fee: $ Indicate how .::is d c.u.:r:,d:
2.Ei....L1 i..Q 2 5 V c.2 0 Total Project Cost3(Item 6)x multiplier x
Z Pliimhing $ ' 0 7 n.h;•r F"es: $
4.Mechanical (HVAC) $ List:
SupIRcssiuil) ---------- ---- -
;2_
- _!.0. I 01,,.,.1, 1\ 01. nlr A-- ---+lt. f--' mount:
(ii
Azi [-el).
SECTION 5: CONSTRUCTION SERVICES
,13Co truction Supervier License(CSL) /0 0- 0.3 D /0/Z 3 l 3
2
License Number Expiration Date
Name of CSL Holder
3/ ✓efe t $ List CSL Type(see below) U
&F (aLZF
nd JettType Description�/� `��- U Unrestricted(Buildings up to 35,000 cu. ft.)
/1'I?
( R Restricted 1&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
logri SF Solid Fuel Burning Appliances
�(3`2 Z 2. Z f/11 ( (,'Qr(' I Insulation
Telephone Email address E j4 D Demolition
RegisteredHome Impro meat Contractor IC) act / 9 D� £) ��a�
Yi S C9i e ra1t� PI ( 'C' HIC Registration Number Expiration Date
AI
C an N e or HIC .+rant Name
oitoo _ t 4.anMef ter 57 beh6dnobtl i-i 6.9 vii licxx co I,--7
1.4°i°1a LP13 22z 2(Jf Email addr
tkt ,p/on ' 1 rT Telephone
SECTION 6: WRKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes 1 No .❑
Si kiiiiii ia:U W 1NER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRAC R APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize I SCWW
to act on my behalf;in all matters rel tive to work authorized by this building permit application.
hfw a -71z 2// -02
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
n ine in this application is true and accurate to the best of my knowledge and understanding.
I Scx rc,P u,r i 62/6 /it 2 3_
Print Owner's or Authorized Age 's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths —
Type of heating system Number of decks/porches _
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
The Commonwealth of Massachusetts
Department of Industrial.-iccif/ents
1 Congress Street,Suite 100
91— Boston,MA 02114-201 7
www.mass.gov/dia
a1urkers'(•ompensation Insurance Affdasit: HuitdervI"ontracterjElectriciansirPlumbers.
It)HE:FILED% li ii TIME_PE:Rail fi 1J(:Al l iH)Ri rs.
Annlicanl Information_ Please Print I.egibly
Name tRusulk-,s thsataliatwn lndltldnld): j''1 e444 _ GT
Address: I t,xe(e. r
City/State rzip: giisfltd - q1oz vn C�� Phone#: 2�/j 2 2 Z 29/1f
Ate renal an creepier. r.'1 brad for 1lppreeprialt•(wet: Type of project(required):
1.0 I a13 a tnllelt,r tt un tell coloplo,ce,ttaalt and or punt Irani 7. 0 Nett construction
1111 a.cell'pnM1prettea or para61t"r,Ynp and ha,c 4k'cnerelre, c nos-luny for nee en 3. Reinodellltg
;Orr cahkkety.. tit,V.cn s'r:annp.ens urantc rouuned.1
9. ❑ Iht ioktiun
+.�1 ant a Inenekeueltt thing all wort myself.[NO N',Ads-comp.irutararnt required""
10 a Building addition
-Ica 1 alas a hM,ItetUt,lltt and tt ell he hiring contractors to conduct all null ten tiui pal 1i trey t will
atsu[t lhal all contractor,clihcr hat.NUlkees•ceeng+tnsalion utwrantt ter arc sole 1 1.3 Electrical repairs or.additions
Ieltprttdr% tflle nta amployixik
12_0 Plumbing repairs or additions
NOI ant a pcncrat tt,ntraerlar and I byre hilted the sib-conrrattunl listed on ihc anadhtnl thee. 13 Root-repairs
these ub-contractors Into%mee barn,and Iuce ulxtcn•comp.ureueaaxc.•
14.a Other
teD live an.:/etrl oratio 4r1 and Its olik IS have cm:re:%ttl theca r1YM Yet ekealq*lk,at Itcr S.K d_c.
152.4i 14 t 1.and we:lntc lit' apl•tttie,. Nil v.artats•con,.lnmatancc 1cyting:J.1
*An,applicant dust chick%lurk 1 aunt a{ku fill that tin:seaman 1ecl,u?ION5'armarmatrktT)•Ilougn I sa1wn policy uiltieniaii ns_
$Htniicum ncr,oleo subnent du,allw1areIl nu{1caltin_r there'arc dome:all%aisle and then hoc vrllaltic e47tirattties must stilling"(a icn athdawit
'C ontractt,r%that ilea do%suck must attached an additional sheet stION 1nt•the:rearm reel-the:vale-come-actor*and state w)wtihcr•,n mot dim,:tnuities haw
n11,ia.t,:t•. Kobe sub-lecogractl,l.Iae+c clerk,�tt .tlrt_t acme pro 1dcthcia ecorkce, c rrep tlact nuanhcr..
I am an employer that is providing worAi rt'compensation insurance for my employees. Below is the policy and job site
in fornt thin,,.
insurance Company Name:
Policy#or Self-ire.Lie.N: Expiration Date: L
Job Site Address: City,-Statcllap: _
Attach a copy,of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage.. • required under MGL C. 152.§25A is a criminal violation punishable by a tine up to$1.500.00
and or one-year impriso inept as well as civil penalties in the form of a STOP WORK ORDER and a line of up to 5250.00 a
day against the violator.A c y of this stateinent may be tierwarded to the Otlice of Ins estigallons of the DIA tier insurance
cow erage verification.
I do hereby certify r tl 'l and penalties of perjury that the information provided alb er iss rta and convict
Si mature: Date: V f 6 2.0 L3
e ,�JU /j
Plltetlt" 2//3 i r ! ! t
Official use only. Do not write in this area,to be completed hi'city or town official
('its or Tessa: Perrnit.?License
Issuing:Authority (circle one):
I. Board of Ilealth 2.Building Department 3.( its:limn l krk -1. Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
City of Northampton
Massachusetts 5 _.
�4 . w ♦ c.
ir
„,, DEPARTMENT OF BUILDING INSPECTIONS
� %
W
+ y 212 Main Street • Municipal Building �� ,'b.
Northampton, MA 01060 s4
h11b
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: 7(e e CC �Iie, ' i
y
The debris will be transported by:
Name of Hauler: icy'( S C elz p 07(c4
11/6/2 5
Signature of Applicant: Date:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street,Suite 100
Boston, MA 02114-2017
$4,ww.mass.gov/dia
• Wozkers'Compensation insurance Affidavit: liu dtkr ( tiutrictorsIEkctr1cansiP1umb.ers.
To RE FILED WITH THE t!M..%t 1110R1TY.
.1milicant Information Please Print Legibls
Name alusinesseOrpantantion loth%alual):
Address:
City/State'Zip: Phone#:
Are t an an tairpkit er?Cheek the appropriate but: Type of project(required):
I am a employer with __errapio•yees I tall acid,or part-tinie).* 7. a New construction
20 I.a auk prupnetor or partnership and have no employees working for me in R. Remodeling
any capacity[Ni workers'comp.insurance mooed.]
9. Demolition
313 lam a Isomeouner doing all work myself.[No workers eon,,insurance roquiroil
la Building addition
4.0 I ant a homeowner and will be hiring contractors to e<Tidiset all work on int,property. I will
CTINISIV that all coraracturs,either have workers'conmen,atsuin insurance in are sole I I 0 Electrical repairs or additions
proprietors u ith no t-inployem..
12.0 Plumbing repairs or additions
5C3 I ant a general contractor and I have hued the sub,ecintractors listed on&At attached sheet
These aub-contnitiors have einployees and bate workers'comp.nouranee.: I 3.EIRixilrepairs
• 14.0 Other
6.0 vs`c ama CorpOrith and as offiecis have ektacised they right of ekemptsun per Vital c.
I:41, )l3I.and sic haw no ixriployees.[No workers cianp.insurance mot:Licit]
•An....applicant that ehecics bot=I mud also fill out the tion below showing then winters'courtmsation if sir
*Homeowners silsi,submit Our affidavit nuticating thq arc doing all work and then hire outside contractors must subniat a ut%atTidav it indicating such.
:Contractors that cheek du,box must anawbed an addstional sheet ids/AV:lilt the name of the sub-etnuraictors and state whether or not those entities have
cniployet-s. lf the sish-contractius havecnt,lr,oes.Uic ITILIA NOS id t their work p1.114. number.
I am on emplitlyr that A providing woriers'compensation insurance for my employees. Below is the pulley and fob it e
information.
Insurance Company Name:
Policy#or Self-ins.Lie.#: Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the*asters*compensation policydeclaration page(shooing the policy number and expiration date,.
Failure to secure coverage as required under MGL c. 152.§25A is a criminal violation punishable by a fine up to$1,500.00
and:or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certifr under the pains and penalties of perjury that the information provided above is true and correct
Siena ture: Date:
Phone P.:
Official use only. Do not write in this area.to he completed hi city or town official
City or Town: e r mit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Tann Clerk 4.Electrical Inspector 5. Plumbing Inspvctur
I 6.Other
Contact Person: Phone*:
Caa.
a„$
dq
mm
q�--..
,
I
Cot—
m
A
3
! City of
1 tjr Noam�ton Kevin Ross <kross@northamptonma.gov>
18 Bates St.drawing
9 messages
belisario burl <belisarioburi@yahoo.com> Mon, Feb 6, 2023 at 10:28 PM
To: kross@northamptonma.gov
Hello Mr Kevin.
Im attaching the drawings for 18 Bates St, belong to my building permit application that I dropped this morning.
Thank You very much
att
Belisario Buri
18Bates.pdf
63K
Kevin Ross <kross@northamptonma.gov> Tue, Feb 7, 2023 at 8:23 AM
To: belisario burl <belisarioburi@yahoo.com>
Hi Belisario,
What will the finished ceiling be?
Thanks,
Kevin
[Quoted text hidden]
Kevin Ross
Local Building Inspector
212 Main Street 587-1240
Northampton,MA 01060 Fax 587-1272
kross@northamptonma.gov
belisario burl <belisarioburi@yahoo.com> Tue, Feb 7, 2023 at 9:08 AM
To: Kevin Ross <kross@northamptonma.gov>
we were trying to the joists exposed and paint them if that is possible, The home owner would like have them black paint
olnly
Sent from my iPhone
On Feb 7, 2023, at 8:23 AM, Kevin Ross <kross@northamptonma.gov>wrote:
[Quoted text hidden]
belisario burl <belisarioburi@yahoo.com> Tue, Feb 7, 2023 at 9:09 AM
To: Kevin Ross <kross@northamptonma.gov>
please let me know if that's is possible
Sent from my iPhone
On Feb 7, 2023, at 9:08 AM, belisario burl <belisarioburi@yahoo.com>wrote:
we were trying to the joists exposed and paint them if that is possible, The home owner would like have
them black paint olnly
[Quoted text hidden]
Kevin Ross <kross@northamptonma.gov> Tue, Feb 7, 2023 at 9:37 AM
To: belisario buri <belisarioburi@yahoo.com>
Hi,
That is possible, I still need to know the height from the finished floor to the bottom of the floor joists.
Thanks,
Kevin
[Quoted text hidden]
belisario bud <belisarioburi@yahoo.com> Tue, Feb 7, 2023 at 12:49 PM
To: Kevin Ross <kross@northamptonma.gov>
72"
Sent from my iPhone
On Feb 7, 2023, at 9:38 AM, Kevin Ross <kross@northamptonma.gov>wrote:
[Quoted text hidden]
Kevin Ross <kross@northamptonma.gov> Tue, Feb 7, 2023 at 2:09 PM
To: belisario buri <belisarioburi@yahoo.com>
Hi,
I can't approve the permit application because the minimum ceiling height required for basements is 6'8". I have attached
the code section stating this.
Any questions, please let me know.
Thanks,
Kevin
[Quoted text hidden]
Basement Ceiling Heights.pdf
38K
belisario bud <belisarioburi@yahoo.com> Tue, Feb 7, 2023 at 3:53 PM
To: Kevin Ross <kross@northamptonma.gov>
that means I can not pour the new concrete either??
Sent from my iPhone
[Quoted text hidden)
Basement Ceiling Heights.pdf
38K
Kevin Ross <kross@northamptonma.gov> Tue, Feb 7, 2023 at 4:08 PM
To: belisario burl <belisarioburi@yahoo.com>
You can do the new floor, but nothing else. No rooms as they would not meet minimum ceiling heights
Sent from my iPad
On Feb 7, 2023, at 3:53 PM, belisario burl <belisarioburi@yahoo.com>wrote:
that means I can not pour the new concrete either??
[Quoted text hidden]
<Basement Ceiling Heights.pdf>
780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS
51.00: continued
Table R302.1(2)Revise footnote a.as follows:
a_ For residential subdivisions where all dwellings are equipped throughout with an
automatic sprinkler system installed in accordance with NFPA 13D, the fire separation
distance for nonrated exterior walls and rated projections shall be permitted to be reduced
to zero feet,and unlimited unprotected openings and penetrations shall be permitted,where
the adjoining lot provides an open setback yard that is six feet or more in width on the
opposite side of the property line.
R302.2 Revise items l and 2 as follows:
1. Where a fue sprinkler system in accordance with NFPA 13,13R,or 13D is provided,the
common wall shall be not less than a one-hour fire-resistance-rated wall assembly tested in
accordance with ASTM E 119 or UL 263.
2. Where a fire sprinkler system in accordance with NFPA 13,13R,or 13D is not provided,
the common wall shall be not less than a two-hour fire-resistance-rated fire wall assembly
tested in accordance with ASTM El 19 or UL 263.
Table R302.6 Revise table as follows:
TABLE R302.6 DWELLING-GARAGE SEPARATION
•
MATERIAL
Separation
Sprinklered i Not-sprinklered.
Not less than'VI-inch gypsum Not less than%-inch Type X gypsum
From the residence and attics board,or equivalent,applied to board,or equivalent,applied to the
the garage side • garage side
From habitable rooms above the garage Not less than y -inch Type X Not less than E/winch Type X gypsum
gypsum board,or equivalent board,or equivalent
Structure(s)supporting floor/ceiling Not less than 1/2-inch gypsum Not less than Va-inch Type X gypsum
assemblies used for separation required
board,or equivalent board,or equivalent
this section
Not less than'/2-inch gypsum Not less than E/e-inch Type X gypsum
Garages located less than three feet board,or equivalent,applied to board,or equivalent,applied to the
from a dwelling unit on the same lot the interior side of exterior interior side of exterior walls that are
walls that are within this area within this area
Note: For SI,one inch=25.4 mm;one foot=304,8 mm.
R302.13 Revise exception 1 as follows:
1. Floor assemblies located directly over a space protected by an automatic sprinkler system
in accordance withNFPA 13, 13R,or 13D,or other approved equivalent sprinkler system.
R302.14 Revise as follows:
Combustible Insulation Clearance: Combustible insulation shall be separated not Iess than
three inches(76 mm)from recessed luminaires,fan motors, knob and tube wiring,and other
heat-producing devices.
R303.3 Replace entire section as follows:
R3033 Bathrooms. Mechanical ventilation in accordance with section MI507 is required for
all bathrooms with a shower or bathtub and rooms with a toilet
R305.1 Revise section as follows:
R3O511Gfiaiitiurn:'Height. Habitable space and hallways shall have a ceiling height of not less
than seven feet(2,134 mm). Bathrooms,toilet rooms, laundry rooms and habitable space in
basements shall have a ceiling height of not less than six feet,eight inches(2,032 mm).
Note: Exceptions are retained.
R308.1 Add the following language at the end of the section:
See also M.G.L.c. 143, §§3T,3U,and 3V.
t n/7nit 7 7S0 CMR - Ninth Edition-710